209 S Bristol Cir - M08-001509 (REPLACE HVAC) DOCUMENTSCITY OF SANFORD PERMIT APPLICATION
Application # : 0 — O Submittal Date: _
1n
Job Address: kaa S
F -`
L. Value of Work:
Parcel ID: l 31 'So b 0CQD 0 Zoning: Historic District:
Description of Work: gw_Pa_ --- 0' 1 Va- ` `7 Square Footage:
Permit Type: Building Electrical Mechanical k Plumbing Fire Sprinkler/Alarm Pool Sign
Electricai: New Service - # of AMPS Addition/Alteration Change of Service Temporary Pole O
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required.)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair -Residential Commercial
Occupancy Type: Residential) Commercial Industrial Occupancy Use Group(s):
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required )
r --.. - .................. ._.._._....._.......-.. ... ... --- ............ --
PropertyOwner: l i i rJ - Yi l Contractor: DEj AIR HEATING & I
Address:
G S 13 t2 z , b Address: 531 CODISCO WA i
C-
w-,.--• SANF I Phone:
E-mail: Phone. % ?3, Ae License Number: Bonding
Company: Address:
Architect/
Engineer: Address:
Plan
Review Contact Person: Mortgage
Lender: Address:
Phone:
Fax:
Phone:
Fax: E-mail: Application
is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance
of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. 1 understand that a separate permit
must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR
CONDITIONERS; etc. OWNER'
S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction
and zoning. WARNING
TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTO/R , Y BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT. /f / NOTICE:
In addition to the requirements of this permit, there may be additional restrictions applicable to this p p y that ay be found in the public records of this
county, and there may be additional pemtits required from other governmental entities such as water mm e VBis icts, state agencies, or federal agencies. Acceptance
of permit is verification that[ will notify the owner of the property o t1I e is of Flo ien Law, FS 71 Signature
of Owner/Agent Date a ure of Contractor/Agent Date O
ERT G. DELLO S0 Print
Owner/Agent's Name Print Contractor/Agent's N me 03
Signature
of Notary -State of Florida Date Signature of Notary -State of Florida Date P
MIRINDA C. TURNER MY
COMMISSION # DD 667937 EXPIRES:
June 14, 2011 Bwded
ThNotery Public Undonvth®t§ Owner/Agent
is Personally Known to Me or Contractor/Agent is Produced 1D
Produced ID APPROVALS: ZONING:
UTIL: FD: ENG: BLD& Special Conditions:
Rev 07.
07